Individual
TAYLOR FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17040 W GREENFIELD AVE STE 6, BROOKFIELD, WI 53005-6844
(262) 439-8019
Mailing address
1533 E IRVING PL, MILWAUKEE, WI 53202-1459
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15417
WI
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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